Reconstruction of iliac crest defect after autogenous harvest with bone cement and screws reduces donor site pain
Abstract Background The iliac crest is the most common autogenous bone graft donor site, although associated with postoperative pain, functional disability, cosmesis, morphology and surgical satisfaction. We assessed each aspect above by comparing iliac crest reconstruction with bone cement and scre...
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| Format: | Article |
| Language: | English |
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BMC
2018-07-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-018-2167-7 |
| _version_ | 1811193319807516672 |
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| author | Jing Zhang Yuxuan Wei Yue Gong Yang Dong Zhichang Zhang |
| author_facet | Jing Zhang Yuxuan Wei Yue Gong Yang Dong Zhichang Zhang |
| author_sort | Jing Zhang |
| collection | DOAJ |
| description | Abstract Background The iliac crest is the most common autogenous bone graft donor site, although associated with postoperative pain, functional disability, cosmesis, morphology and surgical satisfaction. We assessed each aspect above by comparing iliac crest reconstruction with bone cement and screws following harvest with no reconstruction. Methods We evaluated patients who underwent large iliac crest harvesting, including ten patients who underwent iliac crest defect reconstruction with bone cement and cancellous screws (R group) and ten randomly matched patients without reconstruction (NR group) were evaluated prospectively in the same period. Local pain, cosmesis and other complications were assessed postoperatively at 1 week, 6 weeks, 3 months and 6 months. Results Pain, cosmesis and satisfaction of patients significantly differed between the two groups. The R group exhibited less complications and lower pain visual analogue scores at postoperative 1 week (p < 0.001), 6 weeks (p < 0.001) and 3 months (p < 0.01) but not at 6 months, at which time patients reported almost no pain. One patient reported pain for more than 1 year in the NR group. The R group exhibited better cosmesis, morphology and satisfaction than the NR group. In the NR group, one patient suffered pain when sitting up and another when wearing a belt. Conclusion Postoperative pain can be reduced and cosmesis can be improved through reconstructing the iliac crest defects after autogenous harvesting with bone cement and cancellous screws. The technique is simple, safe and easy to implement. |
| first_indexed | 2024-04-12T00:06:23Z |
| format | Article |
| id | doaj.art-8f06d20580814b29970c47657f111b4e |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-12T00:06:23Z |
| publishDate | 2018-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-8f06d20580814b29970c47657f111b4e2022-12-22T03:56:05ZengBMCBMC Musculoskeletal Disorders1471-24742018-07-011911610.1186/s12891-018-2167-7Reconstruction of iliac crest defect after autogenous harvest with bone cement and screws reduces donor site painJing Zhang0Yuxuan Wei1Yue Gong2Yang Dong3Zhichang Zhang4Department of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s HospitalDepartment of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s HospitalDepartment of Breast Surgery, Key Laboratory of Breast Cancer in Shanghai, Fudan University Shanghai Cancer Center, Fudan UniversityDepartment of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s HospitalDepartment of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s HospitalAbstract Background The iliac crest is the most common autogenous bone graft donor site, although associated with postoperative pain, functional disability, cosmesis, morphology and surgical satisfaction. We assessed each aspect above by comparing iliac crest reconstruction with bone cement and screws following harvest with no reconstruction. Methods We evaluated patients who underwent large iliac crest harvesting, including ten patients who underwent iliac crest defect reconstruction with bone cement and cancellous screws (R group) and ten randomly matched patients without reconstruction (NR group) were evaluated prospectively in the same period. Local pain, cosmesis and other complications were assessed postoperatively at 1 week, 6 weeks, 3 months and 6 months. Results Pain, cosmesis and satisfaction of patients significantly differed between the two groups. The R group exhibited less complications and lower pain visual analogue scores at postoperative 1 week (p < 0.001), 6 weeks (p < 0.001) and 3 months (p < 0.01) but not at 6 months, at which time patients reported almost no pain. One patient reported pain for more than 1 year in the NR group. The R group exhibited better cosmesis, morphology and satisfaction than the NR group. In the NR group, one patient suffered pain when sitting up and another when wearing a belt. Conclusion Postoperative pain can be reduced and cosmesis can be improved through reconstructing the iliac crest defects after autogenous harvesting with bone cement and cancellous screws. The technique is simple, safe and easy to implement.http://link.springer.com/article/10.1186/s12891-018-2167-7Iliac crest bone graftMorbidityReconstruction of donor siteBone cement |
| spellingShingle | Jing Zhang Yuxuan Wei Yue Gong Yang Dong Zhichang Zhang Reconstruction of iliac crest defect after autogenous harvest with bone cement and screws reduces donor site pain BMC Musculoskeletal Disorders Iliac crest bone graft Morbidity Reconstruction of donor site Bone cement |
| title | Reconstruction of iliac crest defect after autogenous harvest with bone cement and screws reduces donor site pain |
| title_full | Reconstruction of iliac crest defect after autogenous harvest with bone cement and screws reduces donor site pain |
| title_fullStr | Reconstruction of iliac crest defect after autogenous harvest with bone cement and screws reduces donor site pain |
| title_full_unstemmed | Reconstruction of iliac crest defect after autogenous harvest with bone cement and screws reduces donor site pain |
| title_short | Reconstruction of iliac crest defect after autogenous harvest with bone cement and screws reduces donor site pain |
| title_sort | reconstruction of iliac crest defect after autogenous harvest with bone cement and screws reduces donor site pain |
| topic | Iliac crest bone graft Morbidity Reconstruction of donor site Bone cement |
| url | http://link.springer.com/article/10.1186/s12891-018-2167-7 |
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